Williams, Candyce

Williams, Candyce is an sole proprietor health care provider with primary practice located at 444 W Osborn Rd Ste 200 , Phoenix AZ 85013-3817. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner is her primary health care specialty. Williams, Candyce can be contacted via phone (602) 806-7610.

Contact Information

Primary practice address
444 W Osborn Rd Ste 200 Phoenix AZ 85013-3817
Phone: (602) 806-7610
Fax: (602) 704-6054
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 21064 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X 21064 Arizona

Profile Details

NPI number 1114991155
LBN Legal business name Williams, Candyce
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2006
Last updated Jun 10th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114991155 NPPES
Arizona MEDICAID 117467

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